Organization
CLAYTON PRIMARY CARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J COLLINS CORDER M D (OWNER/PARTNER)
(314) 872-9900
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, SUITE 300 A, SAINT LOUIS, MO 63131-2322
(314) 872-9900
(314) 872-3939
Mailing address
3009 N BALLAS RD, SUITE 300 A, SAINT LOUIS, MO 63131-2322
(314) 872-9900
(314) 872-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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